Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 35-043073 | OH |
NPI | 1033136015 |
---|---|
Provider Name | Max N Wiznitzer |
First Address | Shaker Hts, OH 44122-5203 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2006 |
Last Update Date | 04/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000028264 | ANTHEM (01) | OH |
000000221332 | UNISON (01) | OH |
000000526174 | ANTHEM (01) | OH |
0013055270003 | (05) | PA |
0631598 | (05) | OH |
0631598 | BCMH (01) | OH |
0640754 | AETNA (01) | OH |
1033136015 | (05) | MI |
364144 | WELLCARE (01) | OH |
731878 | BUCKEYE (01) | OH |
A17711 | (02) | OH |
P00445001 | RAILROAD MEDICARE (01) | OH |